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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012521 <br /> DATE RECEIVED by EHD: September 03,2019 APPL#: PA-1900183 <br /> Referral Agency STAFF CONTACP. RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: Fri, September 6, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 8080 E SOUTHLAND RD, MANTECA APN : 20809026,20809027 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: 4&^e <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: p - O'-OZ6 /a fkx' - '-w ""Y4,Y4, Qald.�rr �rJ/dd E. <br /> �y/i/�kCCNe/" ti��"l. 14PN a9-Oz 7y aSSGci E Spu�Lr lte /� <br /> See a'EL�-�- s� ttGut av�.�CQI��`� wMtf �tY1L� �GlCe S <br /> S'f ve6,`,7o'.• Jl e— ��f list rl <br /> I recommend: Approval F-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [OAh k Off L' Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 03,2019 <br />